| Richard R Stout, MD | |
|
70 Mason St, Geneva, NY 14456-1104 | |
| (315) 789-3937 | |
| (315) 789-2616 |
| Full Name | Richard R Stout |
|---|---|
| Gender | Male |
| Speciality | Ophthalmology |
| Location | 70 Mason St, Geneva, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235198714 | NPI | - | NPPES |
| 201178047 | Other | GROUP HEALTH INCORPORATED | |
| 4086529 | Other | AETNA | |
| 7700447 | Other | MVP SELECT CARE | |
| P010225735 | Other | EXCELLUS BCBS | |
| P010225735 | Other | MONROE PLAN | |
| 201178047 | Other | UNITED HEALTH CARE EMPIRE | |
| 201178047 | Other | SIDNEY HILLMAN | |
| 201178047 | Other | WORKERS COMPENSATION | |
| 201178047 | Other | POMCO | |
| 201178047 | Other | TRICARE | |
| 82636 | Other | FIRST HEALTH | |
| 141751CR | Other | PREFERRED CARE OPTION | |
| P00141516 | Other | RAILROAD MEDICARE | |
| 141751CR | Other | PREFERRED CARE | |
| 201178047 | Other | UNITED HEALTH CARE | |
| 7702618 | Other | DOCTORS HEALTH PLAN | |
| P010225735 | Other | HEALTHY NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207W00000X | Ophthalmology | 225735 (New York) | Primary |
| 332H00000X | Eyewear Supplier | 225735 (New York) | Secondary |
| Entity Name | Western New York Medical Practice Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063790608 PECOS PAC ID: 3870767791 Enrollment ID: O20111110000598 |
| Mailing Address | Practice Location Address |
|---|---|
| Richard R Stout, MD 70 Mason St, Geneva, NY 14456-1104 Ph: (315) 789-3937 | Richard R Stout, MD 70 Mason St, Geneva, NY 14456-1104 Ph: (315) 789-3937 |
Harold S Ross, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 738 Pre Emption Rd, Geneva, NY 14456 Phone: 315-789-4922 Fax: 315-789-1791 |